Eliciting individual preferences for health care: a case study of perinatal care

Health Expectations - Tập 13 Số 1 - Trang 4-12 - 2010
Marjon van der Pol1, Alan Shiell2,3, Flora Au4, David Jonhston5, Suzanne Tough2
1Health Economics Research Unit, University of Aberdeen, Aberdeen, UK
2Department of Community Health Sciences, University of Calgary
3Population Health Intervention Research Centre, University of Calgary
4Department of Medicine, University of Calgary
5Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada.

Tóm tắt

AbstractObjective  To demonstrate how a discrete choice experiment (DCE) can be used to elicit individuals’ preferences for health care and how these preferences can be incorporated into a cost–benefit analysis.Methods  A DCE which elicited preferences for three perinatal services: specialist nurse appointments; home visits from a trained lay visitor; and home‐help. Cost was included to obtain a monetary measure of the value that individuals place on the services. In total, 292 women who had previously participated in a randomized trial of alternative forms of pre‐natal care were interviewed.Results  The most preferred service configuration consisted of three nurse appointments and two home visits before birth and 4 h of home‐help per week for the first 4 weeks after birth. On average, women are willing to pay $371 for this package. A package that excluded home‐help was valued at $122 whilst provision of three nurse appointments only was valued at $97. The predicted uptake of the services ranged from 37% to 93% depending on the woman’s experience with the service, whether or not it was her first child and her level of education.Conclusion  The willingness to pay values were much higher than the costs for nurse appointments, suggesting this service produces a net social benefit. The willingness to pay for the package including both the nurse appointments and home visits only just exceeded the costs of the package, suggesting there is a relatively high chance that this package produces a net social loss.

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Health Expectations

Tập 13 Số 1

4-12

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